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HomeMy WebLinkAboutHUTCHINSON 3096 APPAll APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION TO0EACCEPTED Dote: Building Permit Application �^ =�Uo�U�� o ����o� ^���"K��~Uon CDmM12rCialResidential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax |D#:Lot No. Site Plan Name: Project Name: I CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: —Mechanical __GasTank __ Gas Piping __Shutters __Electric __Plumbing Sprinklers __Generator Total Sq. FtofConstruction: Sq. Ft. ofFirst Floor: _ Cost of[onstruction:$ Utilities: __Sewer —Septic Block No. ���Windows/Doors �� Roof Pitch � Building Height: OWNERAESSEE: CONTRACTOR: Zip Code: Fax: City: State:_F_J E-Mail IS, Fill in fee simple Title Holder on next page if different from the Owner listed above) State or'Count� License 6-24? Ifvalue ofconstruction b$25UVormore, aRECORDED Notice ofCommencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: . _ Not Applicable MORTGAGE COMPANY,/1 Not Applicable Name: _ Name: Address: City: o'"`�' ` State: Zip: P ne: Address: City: V State: Zip: Phone FEE SIMPLE TITLE HOLDS: _ Not Applicable BONDING COMPANY: Not Applicable Name: I Name: Address: City: Address: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Z l Signature of OwnLessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA () + COUNTY OF ! �:.iirtt ' , STATE OF FLORIDA l� COUNTY OF The forgoing instrument was acknowledged before me this 0 day of 20 by The forgoing instrument was acknowledged before me this A day of J 3 v 1,_. 20)Lbby Name of pel son rriaking��r7�n���` �,' bond+�d hrougn - r;c Personally Known.` "' ©I3rBrodiaLed Identification Name of person making statement. Personally Known OR Produced Identification Type of Identi#icatii-�o Produced r /✓ ! C' 02 2t(36 Type of Identification Produced_ ;. nag Si n ture of Wtar A cif' i� to of Florida g 3 Commission No,-6 1. .> 'e " (Seal)' Si nature of a P`' Itc Stir @f I,,}} ry T ego �" lru �.✓ i EI�� !a Commission No.C' - _: 4, f{S sl} REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.